Organization Active NPI

Rab DMD LLC

  • Durable Medical Equipment & Medical Supplies
  • Ogden, UT
National Provider Identifier
1306571419
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
RAB DMD LLC
Practice address
3590 Harrison Blvd Ste 1
Ogden, UT 84403-2023
Phone
(801) 394-6651
NPI assigned
Jul 21, 2022
Last updated
Jul 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Richard Allen Buck, DMDNPI 1316922164
Title
Owner
Phone
(385) 333-9425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3590 Harrison Blvd Ste 1
Ogden, UT 84403-2023

Mailing address

4928 W 5300 S
Hooper, UT 84315-6740
Phone (385) 333-9425

Other practice location 1

4928 W 5300 S
Hooper, UT 84315-6740
Phone (385) 333-9425

Other practice location 2

1729 Sidewinder Dr Ste 102
Park City, UT 84060-7518
Phone (435) 649-9429

National Provider Directory

National Provider Directory

Locations

3590 Harrison Blvd
Ste 1
Ogden, UT 84403
Phone (801) 394-6651

1729 Sidewinder Dr
Ste 102
Park City, UT 84060
Phone (435) 649-9429

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1658361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1306571419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4928 W 5300 S",
            "city": "HOOPER",
            "state": "UT",
            "postal_code": "843156740",
            "telephone_number": "385-333-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3590 HARRISON BLVD STE 1",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844032023",
            "telephone_number": "801-394-6651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4928 W 5300 S",
            "address_purpose": "LOCATION",
            "city": "Hooper",
            "state": "UT",
            "postal_code": "843156740",
            "country_code": "US",
            "telephone_number": "385-333-9425",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1729 Sidewinder Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Park City",
            "state": "UT",
            "postal_code": "840607518",
            "country_code": "US",
            "telephone_number": "435-649-9429",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RAB DMD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-21",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "BUCK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "385-333-9425",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.